MISSED FINDINGS IN EMERGENCY RADIOLOGY: CASE BASE SESSION 5 th Nordic Trauma Radiology Course Oslo, Norway
|
|
|
- Sara McDowell
- 5 years ago
- Views:
Transcription
1 MISSED FINDINGS IN EMERGENCY RADIOLOGY: CASE BASE SESSION 5 th Nordic Trauma Radiology Course Oslo, Norway K.SHANMUGANATHAN M.D. EASILY MISSED FINDINGS IN EMERGENCY RADIOLOGY OBJECTIVES Commonly missed injuries How to avoid these errors Impact on management
2 Question 1: Blunt Trauma Which of the following MDCT image set(s) do you routinely use to evaluate trauma cases (choose one)? 1. Transverse (axial) images only. 2. Sagittal and coronal MPR images only & 2 in all cases & 2 in cases with injuries only. 5. 1, 2, and 3D images in cases with injuries. Question 1: Blunt Trauma Who performs the MPR & 3D images? 1. Radiologist. 2. Radiographer (Technologist)
3 CASE 1 27-Years old man admitted with abdominal pain following a MVC. CASE 1
4 Question 3 Case 1 The best management option is: 1. The radiological and clinical abnormalities with the trauma surgeon to plan management. 2. Repeat CT in 4-6 hours 3. Diagnostic peritoneal lavage. 4. Repeat abdominal and pelvic ultrasound examination 5. Serial clinical examination for 3 days. CASE 1 Abdominal pain was getting better
5 Question 4: Case 1 Based on clinical and MDCT findings, the best option (choose one)? 1. Discharge the patient from hospital. 2. Observe the patient for another 24 hours. 3. Observe the patient for another 3 5 days. 4. Perform a diagnostic peritoneal lavage. 5. Perform a laparotomy. CASE 1
6 CASE 1 Error - why? Uncommon presentation Nonspecific abnormalities MDCT - characterizes the lesion Injury evolved over a period BOWEL INJURY SPECIFIC CT SIGNS FREE EXTRA INTESTINAL AIR ORAL CONTRAST EXTRAVASATION EXTRAVASATION OF INTESTINAL CONTENT DISCONTINUITY OF BOWEL WALL AIR WITHIN BOWEL WALL
7 BOWEL INJURY NONSPECIFIC CT SIGNS BOWEL WALL THICKENING FREE INTRAPERITONEAL FLUID WITH NO SOURCE BOWEL INJURY NONSPECIFIC CT SIGNS OPTIONS Serial clinical Examination Follow-up MDCT DPL Laparoscopy Laparotomy
8 BOWEL INJURY SPIRAL CT (SURGICAL) SEN SPE ACC NPV PPV FREE AIR 30 76% 98% 91% 89% 95% % FF 76% 39% 51% 76% 39% BWT 44% 47% 46% 62% 30% OCE 8% 100% 69% 68% 100% KLK, KS, SEM, ET AL. J TRAUMA 2001;51:1-11 COLONIC INJURY
9
10
11 21 Admission Follow-up 48 hours
12 SMALL BOWEL INJURY
13 12 hours
14 CASE 2 35-Year old male admitted following blunt force trauma with chest, abdominal, and pelvic pain
15 Question 5: Case 2 Based on the CXR & MDCT findings, the best diagnosis? 1. Surgical Diaphragm injury. 2. Surgical injury to Stomach. 3. Blunt cardiac contusion. 4. Lung injury. 5. Aortic injury. Question 5: Case 2 Why did you diagnose a surgical diaphragm injury? 1. Only positive cases are shown in the 5 th Nordic Trauma Course. 2. Dependent viscera sign. 3. Large defect in the diaphragm. 4. Collar sign. 5. Thickening of the diaphragm
16 Admission Day 10
17 CASE 2 Error - why? Nonspecific signs - only No specific sign of diaphragm injury Intubation prevented herniation MDCT OF DIAPHRAGM INJURY SPECIFIC SIGNS HERNIATION OF ABDOMINAL VISCERA INTO THORAX FOCAL CONSTRICTION - CT COLLAR SIGN DEPENDENT VISCERA SIGN
18 MDCT OF DIAPHRAGM INJURY RIGHT HEMIDIAPHARGM (n = 12) HUMP SIGN 83% (10/12) ROUNDED PORTION OF LIVER PARENCHYMA BAND SIGN 33% (4/12) LINEAR LUCENCY ACROSS LIVER OR, SEM, KS. Clinic Radiol 2005;60: MDCT OF DIAPHRAGM INJURY NONSPECIFIC SIGNS DISCONTINUITY OF CRUS THICKENING OF DIAPHRAGM HIGH HEMIDIAPHRAGM
19
20
21
22
23 Yes No
24 CASE 3 61-year old man involved in an industrial accident. A heavy weight fell over patients upper chest. C A S E 3
25 Question 6: Case 3 Based on the MDCT findings, the best diagnosis? 1. Pneumothorax and pneumomediastinum. 2. Pneumothorax and tracheal injury. 3. Tracheal and aortic injury. 4. Tracheal and subclavian artery injury. 5. Aortic injury and pneumothorax C A S E 3
26 CASE 3 CASE 3 Error - why? Two uncommon injuries No reformations subclavian artery IV Contrast material side of pathology Proximal injury - SVC
27 VASCULAR INJURIES SPECIFIC Contour abnormalities Intramural thrombus Wall hematoma Intimal flap VASCULAR INJURIES SPECIFIC Cut-off of a vessel Pseudoaneurysm or A-V fistulas Active bleeding
28 VASCULAR INJURIES NONSPECIFIC Perivascular hematoma Concentric contour abnormalities Perivascular gas Proximity injury - WT
29
30
31
Advances in MDCT of Thoracic Trauma
Baltic Congress of Radiology, Riga 2010 Advances in MDCT of Thoracic Trauma Robert A. Novelline, MD Professor of Radiology, Harvard Medical School Director of Emergency Radiology, Massachusetts General
Which Blunt Trauma Patients Should Be Studied by Abdominal CT?
MDCT of Bowel and Mesenteric Injury: How Findings Influence Management 4 th Nordic Trauma Radiology Course 2006 4 th Nordic Trauma Radiology Course 2006 Stuart E. Mirvis, M.D., FACR Department of Radiology
Enter modality here Enter modality here, enter none if none. Principal Modality (2): Case Report # [] Date accepted: April 2015
![Enter modality here Enter modality here, enter none if none. Principal Modality (2): Case Report # [] Date accepted: April 2015](/thumbs/83/87309292.jpg "Enter modality here Enter modality here, enter none if none. Principal Modality (2): Case Report # [] Date accepted: April 2015")
Radiological Category: Enter category here Principal Modality (1): Principal Modality (2): Enter modality here Enter modality here, enter none if none Case Report # [] Submitted by: Varun Rachakonda, M.D.
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad Trauma Emergency Room layout Ideally the trauma emergency room is centrally located to provide
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 9th Nordic Trauma Radiology Course Aarhus, Denmark May 23-26, 2016 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging
Abdominal Solid Organ Injury
Abdominal Solid Organ Injury 8 th Nordic Course Stockholm, Sweden May 19-22, 2014 K.SHANMUGANATHAN M.D. ABDOMINAL TRAUMA OBJECTIVES Splenic injury Late arterial / early p-v phase imaging Liver injury Blunt
Children are not small adults Children are Not Small Adults Anatomic considerations Pliable bony & cartilagenous structures - Significant thoracic inj
PEDIATRIC CHEST TRAUMA Children are not small adults Role of imaging Spectrum of injury Children are not small adults Children are Not Small Adults Anatomic considerations Pliable bony & cartilagenous
Traumatic Diaphragmatic Rupture
Beth Israel Deaconess Medical Center Harvard Medical School December 2009 Traumatic Diaphragmatic Rupture Kapil Verma, Harvard Medical School Year III Gillian Lieberman, MD Agenda Background Menu of Tests
Advances in Emergency Imaging
Hampton Symposium,, October 16 th, 2010 Advances in Emergency Imaging Robert A. Novelline, MD Professor of Radiology, Harvard Medical School Director of Emergency Radiology, Massachusetts General Hospital
Imaging of Thoracic Trauma: Tips and Traps. Arun C. Nachiappan, MD Associate Professor of Clinical Radiology University of Pennsylvania
Imaging of Thoracic Trauma: Tips and Traps Arun C. Nachiappan, MD Associate Professor of Clinical Radiology University of Pennsylvania None Disclosures Objectives Describe blunt and penetrating traumatic
Imaging in abdominal trauma
Imaging in abdominal trauma Dilyana Baleva Medical University Varna Landesklinikum Mistelbach-Gänserndorf Learning objectives Definition, demographics and etiology Imaging modalities and protocols Common
Case Report Fractured Ribs and the CT Funky Fat Sign of Diaphragmatic Rupture
Case Reports in Radiology Volume 2016, Article ID 6723632, 4 pages http://dx.doi.org/10.1155/2016/6723632 Case Report Fractured Ribs and the CT Funky Fat Sign of Diaphragmatic Rupture Iclal Ocak 1 and
Radiological Investigations of Abdominal Trauma
76 77 Investigations of Abdominal Trauma Introduction: Trauma to abdominal organs is a common cause of patient morbidity and mortality among trauma patients. Causes of abdominal trauma include blunt injuries,
Pediatric Abdomen Trauma
Pediatric Abdomen Trauma Susan D. John, MD, FACR Pediatric Trauma Trauma is leading cause of death and disability in children and adolescents Causes and effects vary between age groups Blunt trauma predominates
Chest x-ray in Trauma Pearls and pitfalls. Mats O. Beckman. Stockholm
Chest x-ray in Trauma Pearls and pitfalls Mats O. Beckman Radiology Karolinska University Hospital Stockholm 3 chestmb08 4 chestmb08 5 chestmb08 6 chestmb08 7 chestmb08 Traumaroom 8 chestmb08 When to do
Acute Aortic Syndromes
Acute Aortic Syndromes Carole J. Dennie, MD Acute Thoracic Aortic Syndromes Background Non-Traumatic Acute Thoracic Aortic Syndromes Carole Dennie MD FRCPC Associate Professor of Radiology and Cardiology
2. Blunt abdominal Trauma
Abdominal Trauma 1. Evaluation and management depends on: a. Mechanism (Blunt versus Penetrating) b. Injury complex in addition to abdomen c. Haemodynamic stability assessment: i. Classically patient s
Imaging abdominal vascular emergencies. V.Stoynova
Imaging abdominal vascular emergencies V.Stoynova Abdominal vessels V. Stoynova 2 Acute liver bleeding trauma anticoagulant therapy liver disease : HCC, adenoma, meta, FNH, Hemangioma Diagnosis :CT angiography
LIVER INJURIES PROFF. S.FLORET
LIVER INJURIES PROFF. S.FLORET Abdominal injuries For anatomical consideration: Abdomen can be divided in four areas Intra thoracic abdomen True abdomen Pelvic abdomen Retroperitoneal abdomen ETIOLOGY
Typical and atypical imaging of thoracic and abdominal aortic rupture
Typical and atypical imaging of thoracic and abdominal aortic rupture Poster No.: C-0453 Congress: ECR 2014 Type: Educational Exhibit Authors: J. Isogai, T. Ichihara, T. Inoue, T. Kanamori ; Asahi/JP,
LOOKING FOR AIR IN ALL THE WRONG PLACES Richard M. Gore, MD North Shore University Health System University of Chicago Evanston, IL
SIGNIFICANCE OF EXTRALUMINAL ABDOMINAL GAS: LOOKING FOR AIR IN ALL THE WRONG PLACES Richard M. Gore, MD North Shore University Health System University of Chicago Evanston, IL SCBT/MR 2012 October 26,
Radiology. Undergraduate Radiology Sample Questions
Radiology Undergraduate Radiology Sample Questions April 2012 The following examples are offered of questions that might be used to assess undergraduate radiology. There are 3 different styles: An OSCE
Role of imaging in evaluation of genitourinary i trauma Spectrum of GU injuries Relevance of imaging findings in determining management Focus on MDCT
Genitourinary Tract Injuries 6 th Nordic Course Scott D. Steenburg, MD Assistant Professor University of Maryland Department of Radiology Division of Trauma and Emergency Radiology R Adams Cowley Shock
IMAGING OF TRAUMA IN FINLAND 4/25/12 STATISTICS 1999:2009. Seppo Koskinen HUS Röntgen Töölön sairaala VIOLENT CRIMES IN FINLAND
IMAGING OF TRAUMA IN FINLAND Seppo Koskinen HUS Röntgen Töölön sairaala TRAUMA IN FINLAND 2081 people died in in accidents in 2009 (2006;2240) third commonest cause of death in whole population annual
Intraabdominal Active Bleeding: Helical CT, MDCT (64slice), DSA and Homeostatic Embolization Findings
Intraabdominal Active Bleeding: Helical CT, MDCT (64slice), DSA and Homeostatic Embolization Findings Poster No.: C-2495 Congress: ECR 2012 Type: Educational Exhibit Authors: B. ALPARSLAN, N. YILDIRIM,
Abdominal compartment syndrome: radiological signs
Abdominal compartment syndrome: radiological signs Poster No.: C-0903 Congress: ECR 2011 Type: Scientific Exhibit Authors: R. Ignarra, C. Acampora, R. MAZZEO, C. muzj, L. Romano ; 1 1 2 2 3 3 1 4 4 napoli/it,
Acute Aortic Syndromes
Acute Aortic Syndromes None Disclosures Smita Patel, M.B.B.S., M.R.C.P., F.R.C.R. Associate Professor, University of Michigan Ann Arbor, MI Objectives To review common CTA findings of acute aortic syndromes
Background Focused Assessment with Sonography in Trauma. Johann Baptist Dormagen, MD, PhD
Focused Assessment with Sonography in Trauma Johann Baptist Dormagen, MD, PhD Unit of Abdominal and Oncologic Radiology Department of Radiology and Nuclear Medicine Oslo University Hospital, Norway 8 th
Penetrating abdominal trauma clinical view. Ari Leppäniemi, MD Department of Abdominal Surgery Meilahti hospital University of Helsinki Finland
Penetrating abdominal trauma clinical view Ari Leppäniemi, MD Department of Abdominal Surgery Meilahti hospital University of Helsinki Finland Meilahti hospital - one of Helsinki University hospitals -
General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]
![General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]](/thumbs/76/74079340.jpg "General Imaging. Imaging modalities. Incremental CT. Multislice CT Multislice CT [ MDCT ]")
General Imaging Imaging modalities Conventional X-rays Ultrasonography [ US ] Computed tomography [ CT ] Radionuclide imaging Magnetic resonance imaging [ MRI ] Angiography conventional, CT,MRI Interventional
Imminent Cardiac Collapse: The Catastrophe You Cannot Afford To Miss
Imminent Cardiac Collapse: The Catastrophe You Cannot Afford To Miss Presenting Authors Ameya J Baxi, MD (baxi@uthscsa.edu) Carlos Restrepo, MD Disclaimer: We do not have any conflict of interest or financial
Role of the Radiologist
Diagnosis and Treatment of Blunt Cerebrovascular Injuries NORDTER Consensus Conference October 22-24, 2007 Clint W. Sliker, M.D. University of Maryland Medical Center R Adams Cowley Shock Trauma Center
Lines and tubes. 1 Nasogastric tubes Endotracheal tubes Central lines Permanent pacemakers Chest drains...
Lines and tubes 1 Nasogastric tubes... 15 2 Endotracheal tubes.... 19 3 Central lines... 21 4 Permanent pacemakers.... 25 5 Chest drains... 30 This page intentionally left blank 1 Nasogastric tubes Background
Post-Op Aorta: Differentiating Normal Post-Op vs. Complications. Linda C. Chu, MD Assistant Professor of Radiology Johns Hopkins University
Post-Op Aorta: Differentiating Normal Post-Op vs. Complications Linda C. Chu, MD Assistant Professor of Radiology Johns Hopkins University No disclosures Disclosures Goals and Objectives To review CT technique
CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D.
CT of Acute Thoracic Aortic Syndromes Stuart S. Sagel, M.D. Thoracic Aortic Aneurysms Atherosclerotic Dissection Penetrating ulcer Mycotic Inflammatory (vasculitis) Traumatic Aortic Imaging Options Catheter
A Guide to the Radiologic Evaluation of Extra-Axial Hemorrhage
July 2013 A Guide to the Radiologic Evaluation of Extra-Axial Hemorrhage John Dickson, Harvard Medical School Year III Agenda 1. Define extra-axial hemorrhage and introduce its subtypes 2. Review coup
Multidetector CTA for Diagnosing Blunt Cerebrovascular Injuries
Multidetector CTA for Diagnosing Blunt Cerebrovascular Injuries 4 th Nordic Trauma Course 2006 Stuart E. Mirvis, M.D., FACR Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland
Interventional Radiology in Trauma. Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital
Interventional Radiology in Trauma Vikash Prasad, MD, FRCPC Vascular and Interventional Radiology The Moncton Hospital Disclosures None relevant to this presentation Shareholder Johnson and Johnson Goal
2 Blunt Abdominal Trauma
2 Blunt Abdominal Trauma Ricardo Ferrada, Diego Rivera, and Paula Ferrada Pearls and Pitfalls Patients suffering a high-energy trauma have solid viscera rupture in the abdomen and/or aortic rupture in
Penetrating Torso Trauma: Triple-Contrast Helical CT in Peritoneal Violation and Organ Injury A Prospective Study in 200 Patients 1
Emergency Radiology Radiology K. Shanmuganathan, MD Stuart E. Mirvis, MD William C. Chiu, MD Karen L. Killeen, MD 2 Gerald J. F. Hogan, MD Thomas M. Scalea, MD Index terms: Computed tomography (CT), helical,
Imaging in the Trauma Patient
Imaging in the Trauma Patient David A. Spain, MD Department of Surgery Stanford University Pan Scan Instead of Clinical Exam? 1 Granted, some patients don t need CT scan Platinum Package Stanford Special
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abdominal injuries clinical presentation of, 23 24 Abdominal trauma evaluation for pediatric surgeon, 59 74 background of, 60 colon and
Algorithms for managing the common trauma patient
ALGORITHMS Algorithms for managing the common trauma patient J John, MB ChB Department of Urology, Frere Hospital, East London Hospital Complex, East London, South Africa Corresponding author: J John (jeffveenajohn@gmail.com)
CT of Blunt Diaphragmatic
Note: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights. TRAUMA/EMERGENCY
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD
Fall down stairs. Left rib fractures. John A Cieslak III, MD, PhD Charan Singh, MD ? Splenic lacerations, hemoperitoneum, and traumatic pseudoaneurysm formation. High attenuation extraluminal contrast
Adult bowel obstruction with acute abdomen: spectrum of CT findings
Adult bowel obstruction with acute abdomen: spectrum of CT findings Poster No.: C-1571 Congress: ECR 2013 Type: Educational Exhibit Authors: L. Turturici, G. Gherarducci, F. Bianchi, R. Pascale, M. Tonerini,
Emergency CT of blunt abdominal trauma: experience from a large urban hospital in Southern China
Review Article Emergency CT of blunt abdominal trauma: experience from a large urban hospital in Southern China Jingshan Gong, Dongdong Mei, Minjie Yang, Jianmin Xu, Yangyang Zhou Department of Radiology,
RESUSCITATION IN TRAUMA. Important things I have learnt
RESUSCITATION IN TRAUMA Important things I have learnt Trauma resuscitation through the decades What was hot and now is not 1970s 1980s 1990s 2000s Now 1977 Fluids Summary Dogs subjected to arterial hemorrhage
Update on Acute Aortic Syndrome
SUNDAY Update on Acute Aortic Syndrome Diana Litmanovich, MD Learning objectives To be familiar with the definition, natural history, and imaging findings of acute aortic syndrome, including: I. Aortic
A Z OF ABDOMINAL RADIOLOGY
Z OF BDOMINL RDIOLOGY bdominal trauma to Z of bdominal Radiology Clinical characteristics general discussion, followed by organ-specific summaries, is given below. bdominal trauma is managed as part of
Urogenital Injuries The role of radiology
Urogenital Injuries The role of radiology NORDTER 7 th Nordic Trauma Radiology Course Helsinki, Finland May 21-24, 2012 Johann Baptist Dormagen, MD, PhD Oslo University Hospital, Norway Kidney injuries
Blunt Thoracic Aortic Injury
September 2004 Blunt Thoracic Aortic Injury Richelle Williams, Harvard Medical School, Year III Blunt Aortic Injury ~8000 deaths/year in the U.S. Most common cause of sudden death following: - high-speed
Selective Nonoperative Management of Penetrating Abdominal Trauma. Kings County Hospital Center Verena Liu, MD 10/13/2011
Selective Nonoperative Management of Penetrating Abdominal Trauma Kings County Hospital Center Verena Liu, MD 10/13/2011 Case Presentation 28M admitted on 8/27/2011 s/p GSW to right upper quadrant and
Delayed Splenic Rupture After Non-Operative Management of Blunt Splenic Injury A AAST Multi-Institutional Prospective Trial Data Collection Tool
Delayed Splenic Rupture After Non-Operative Management of Blunt Splenic Injury A AAST Multi-Institutional Prospective Trial Data Collection Tool Enrolling Center: Patient Number (sequential within center):
Case Report Congenital Diaphragmatic Hernia with Delayed Presentation
Case Reports in Surgery Volume 2016, Article ID 7284914, 4 pages http://dx.doi.org/10.1155/2016/7284914 Case Report Congenital Diaphragmatic Hernia with Delayed Presentation Alireza Malekzadegan 1 and
10/17/2016. Nuts and Bolts of Thoracic Radiology. Objectives. Techniques
Nuts and Bolts of Thoracic Radiology October 20, 2016 Carleen Risaliti Objectives Understand the basics of chest radiograph Develop a system for interpreting chest radiographs Correctly identify thoracic
Aortic CT: Intramural Hematoma. Leslie E. Quint, M.D.
Aortic CT: Intramural Hematoma Leslie E. Quint, M.D. 43 M Mid back pain X several months What type of aortic disease? A. Aneurysm with intraluminal thrombus B. Chronic dissection with thrombosed false
Nordic Forum - Trauma & Emergency Radiology. Bowel Obstruction: Imaging Update
Nordic Forum - Trauma & Emergency Radiology Bowel Obstruction: Imaging Update Borut Marincek Institute of Diagnostic Radiology University Hospital Zurich, Switzerland Acute Abdomen Bowel Obstruction Bowel
INTRA-THORACIC AND INTRA-ABDO-MINAL PERFORATION OF THE COLON IN TRAUMATIC DIAPHRAGMATIC
INTRA-THORACIC AND INTRA-ABDO-MINAL PERFORATION OF THE COLON IN TRAUMATIC DIAPHRAGMATIC Pages with reference to book, From 14 To 16 S. Amjad Hussain, Chinda Suriyapa, Karl Grubaugh ( Depts. of Surger and
SUPPLEMENTAL MATERIAL
SUPPLEMENTL MTERIL Marie erna, Martin Kocher, Rohit Philip Thomas. cute aorta, overview of acute T findings and endovascular treatment options (doi: 10.5507/bp.2016.060) Fig. 1. : Non-enhanced T, hemopericardium
CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN
CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN THORACO ABDOMINAL TRAUMA 0 10 20 30 40 50 60 5 cc/sec 30 secs 1.25 mm/ 55 mm Z1.375 2.5 mm/ 55 mm Z 1.375 Grade
Imaging of chest trauma
Imaging of chest trauma Poster No.: C-1117 Congress: ECR 2014 Type: Educational Exhibit Authors: G. Ironi, A. Esposito, R. Nicoletti, F. De Cobelli, R. Faccincani, 1 2 2 1 1 1 1 1 1 2 C. Martinenghi, M.
TIPS AND PITFALLS IN PLAIN FILM INTERPRETATION
TIPS AND PITFALLS IN PLAIN FILM INTERPRETATION Dr Philip Touska MBBS, BMedSci(Hons), MRCS, DO-HNS, FRCR Radiology Fellow Guy s & St Thomas Hospitals LEARNING OBJECTIVES Where do we go wrong? Common pitfalls
Initial Pelvic Fracture Management. Patrick M Reilly MD FACS February 27, 2010
Initial Pelvic Fracture Management Patrick M Reilly MD FACS February 27, 2010 John Pryor MD Field Triage* * Step One : Physiology * Step Two : Anatomy * Step Three : Mechanism * Step Four : Co-Morbid Conditions
Role of Imaging in the evaluation of Renal Trauma
Role of Imaging in the evaluation of Renal Trauma M. H. Ather,M.A. Noor ( Department of Surgery, The Aga Khan University, Karachi. ) Trauma is the leading cause of morbidity and mortality among young adults
Bladder Trauma Data Collection Sheet
Bladder Trauma Data Collection Sheet If there was no traumatic injury with PENETRATION of the bladder DO NOT proceed Date of injury: / / Time of injury: Date of hospital arrival: / / Time of hospital arrival:
The FAST Exam! Dr. David Easton MD FRCPC Critical Care and Emergency Medicine University of Manitoba Canada
The FAST Exam! Dr. David Easton MD FRCPC Critical Care and Emergency Medicine University of Manitoba Canada Dr. David Easton MD FRCPC Assistant Professor Section of Critical Care and Emergency Medicine
Undergraduate Teaching
Prof. James F Meaney Undergraduate Teaching Chest X-Ray Understanding the normal anatomical by reference to cross sectional imaging Radiology? It s FUN! Cryptic puzzle Sudoku (Minecraft?) It s completely
Title: Post traumatic Diaphragmatic hernia in children: Diagnostic Dilemmas and lessons learned. Type: Original article
Title: Post traumatic Diaphragmatic hernia in children: Diagnostic Dilemmas and lessons learned. Type: Original article Authors: Dr Vaibhav Pandey 1*, Dr. Pranay Panigrahi 2 Srivastav 4 & Dr Rakesh Kumar
Diagnosis & Management of Kidney Trauma. LAU - Urology Residency Program LOP Urology Residents Meeting
Diagnosis & Management of Kidney Trauma LAU - Urology Residency Program LOP Urology Residents Meeting Outline Introduction Investigation Staging Treatment Introduction The kidneys are the most common genitourinary
CT Cystography with Multiplanar Reformation for Suspected Bladder Rupture: Experience in 234 Cases
han et al. T ystography for Suspected ladder Rupture Genitourinary Imaging Original Research M E D E N T U R I L I M G I N G David P. N. han 1 Hani H. bujudeh 2 George L. ushing, Jr. 2 Robert. Novelline
Case 9799 Stanford type A aortic dissection: US and CT findings
Case 9799 Stanford type A aortic dissection: US and CT findings Accogli S, Aringhieri G, Scalise P, Angelini G, Pancrazi F, Bemi P, Bartolozzi C Department of Diagnostic and Interventional Radiology, University
Semiotics in Radiology
Adelino Santos Health Technology College Coimbra, Portugal Collaboration of António Agudo Student of Radiology College of Health Technology Coimbra, Portugal What are the most important points to evaluate
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 09/17/2011 Radiology Quiz of the Week # 38 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Pan Scan Instead of Clinical Exam? David A. Spain, MD
Pan Scan Instead of Clinical Exam? David A. Spain, MD Granted, some patients don t t need CT scan Platinum Package Stanford Special CT Scan Head Neck Chest Abdomen Pelvis Takes about 20 minutes to do
The Focused Assessment with Sonography for Trauma, (FAST) procedure.
The Focused Assessment with Sonography for Trauma, (FAST) procedure. ROBERT H. WRIGLEY Professor Veterinary Diagnostic Imaging University of Sydney Veterinary Teaching Hospital Professor Emeritus Colorado
The role of multidetector computed tomography versus digital subtraction angiography in triaging care and management in abdominopelvic trauma
Singapore Med J 2016; 57(9): 497-502 doi: 10.11622/smedj.2015179 The role of multidetector computed tomography versus digital subtraction angiography in triaging care and management in abdominopelvic trauma
CT IMAGING OF BLUNT SPLENIC INJURY: A PICTORIAL ESSAY
CT IMAGING OF BLUNT SPLENIC INJURY: A PICTORIAL ESSAY Radhiana H, Azian AA, Ahmad Razali MR, Amran AR, Azlin S, S Kamariah CM Department of Radiology International Islamic University Malaysia Kuantan,
Sasha Dubrovsky, MSc MD FRCPC Pediatric Emergency Medicine Montreal Children s Hospital - MUHC October 2010
Sasha Dubrovsky, MSc MD FRCPC Pediatric Emergency Medicine Montreal Children s Hospital - MUHC October 2010 Learning objectives 1. Discuss diagnostic goals in pediatric trauma Diagnose All vs. Severe Injuries
Case 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis?
1 Interpreting Chest X-Rays CASE 1 Fig. 1.1 Case 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis? CASE 1 Interpreting
The Role of the FAST exam in the EDRU
The Role of the FAST exam in the EDRU A. Robb McLean, MD, MHCM Vice Chair of Clinical Operations, Department of Emergency Medicine Joint Trauma Conference June 20, 2017 Disclosures Goals Describe the performance,
Journal of Medical Imaging and Radiation Oncology
Journal of Medical Imaging and Radiation Oncology 62 (2018) 504 511 MEDICAL IMAGING PICTORIAL ESSAY Imaging in pancreas transplantation complications: Temporal classification Paula Gallego Ferrero and
The Human Body: An Overview of Anatomy. Anatomy. Physiology. Anatomy - Study of internal and external body structures
C H A P T E R 1 The Human Body: An Orientation An Overview of Anatomy Anatomy The study of the structure of the human body Physiology The study of body function Anatomy - Study of internal and external
Thoracic causes of pneumoperitoneum - it is not all about perforation
Thoracic causes of pneumoperitoneum - it is not all about perforation Poster No.: C-2590 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ilieva; Sofia/BG Keywords: Education, Plain radiographic
Katarzyna J. Macura 1, Frank M. Corl, Elliot K. Fishman, David A. Bluemke
Pictorial Essay Pathogenesis in cute ortic Syndromes: ortic neurysm Leak and Rupture and Traumatic ortic Transection Katarzyna J. Macura 1, Frank M. Corl, Elliot K. Fishman, David. luemke T his pictorial
Pediatric Isolated Trachea Rupture Treated with a Conservative Approach İ Akdulum 1, M Öztürk 2, N Dağ 1, A Sığırcı 1 ABSTRACT
Pediatric Isolated Trachea Rupture Treated with a Conservative Approach İ Akdulum 1, M Öztürk 2, N Dağ 1, A Sığırcı 1 ABSTRACT Tracheobronchial rupture as a result of blunt thoracic trauma is extremely
Diagnostic Value of Abdominal Ultrasonography in Patients with Blunt Abdominal Trauma
Original Article Diagnostic Value of Abdominal Ultrasonography in Patients with Blunt Abdominal Trauma Michael I Nnamonu, Chikwem H Ihezue, Augustine Z Sule, Venyir M Ramyil, Stephen D Pam 1 Departments
Posterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction
Posterior Rectus Sheath Hernia Causing Intermittent Small Bowel Obstruction Scott Lenobel 1*, Robert Lenobel 2, Joseph Yu 1 1. Department of Radiology, The Ohio State University Wexner Medical Center,
SSRG International Journal of Medical Science (SSRG-IJMS) volume 1 Issue 2 December 2014
Blunt Abdominal Trauma: Making Decision of Management with Conventional and Ultrasonography Evaluation Dr.Naveen K G 1, Dr. Ravi N 2, Dr. Nagaraj B R 3 1(senior resident-department of radiology, Bangalore
of Trauma Assembly 27 th Page 1
Eastern Association for the Surgery of Trauma 27 th Annual Scientific Assembly Sunrise Session 08 To Scan or Not To Scan Thatt is the Question January 16, 2014 Waldorf Astoria Naples Naples, Floridaa Page
Approach to CXR. Terminology. 1.Identification. Greg Blecher SCH Respir Fellow. Correct patient Correct date and time Correct examination
Approach to CXR Greg Blecher SCH Respir Fellow From Rob Posteraro http://home.earthlink.net/~rhpos/cxr_interpret.txt.html ; http://home.earthlink.net/~rhpos/cxr_main.txt.html) Approach to viewing Chest
Case 8036 Multiple penetrating atherosclerotic ulcers
Case 8036 Multiple penetrating atherosclerotic ulcers Santiago I, Seco M, Curvo-Semedo L Section: Cardiovascular Published: 2010, Feb. 22 Patient: 78 year(s), male Clinical History A 78-year-old hypertensive
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury. Conflict of Interest. Hypotensive shock 5/5/2014. none
EVAR and TEVAR: Extending Their Use for Rupture and Traumatic Injury Bruce H. Gray, DO MSVM FSCAI Professor of Surgery/Vascular Medicine USC SOM-Greenville Greenville, South Carolina none Conflict of Interest
Diaphragmatic injuries after blunt trauma: are they still a challenge?
Emerg Radiol (2012) 19:225 235 DOI 10.1007/s10140-012-1025-4 REVIEW ARTICLE Diaphragmatic injuries after blunt trauma: are they still a challenge? Reviewing CT findings and integrated imaging Giorgio Bocchini
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 6/23/2012 Radiology Quiz of the Week # 78 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Different Sonographic Pictures of Traumatic Hepatic Herniation and Reasons for Their Differences
C S E R E P O R T Different Sonographic Pictures of Traumatic Hepatic Herniation and Reasons for Their Differences Chih-Shun Wu*, Wei-Jen Yao 1, Yen-Hua Huang 2 Sonographic features used in the diagnosis
Diseases of the Aorta
Diseases of the Aorta ASE Review 2018 Susan E Wiegers, MD, FASE, FACC Professor of Medicine My great friend Dr. Roberto Lang Disclosure None related to this presentation 1 Objectives Aneurysm Dissection
B-I-2 CARDIAC AND VASCULAR RADIOLOGY
(YEARS 1 3) CURRICULUM FOR RADIOLOGY 13 B-I-2 CARDIAC AND VASCULAR RADIOLOGY KNOWLEDGE To describe the normal anatomy of the heart and vessels including the lymphatic system as demonstrated by radiographs,
In ESH we usually see blunt chest trauma but penetrating injuries also treated here (usually as single injuries, like stab wound)
Chest Trauma Dr Csaba Dioszeghy MD PhD FRCEM FFICM FERC East Surrey Hospital Emergency Department Scope Thoracic injuries are common and can be life threatening In ESH we usually see blunt chest trauma
TEVAR for trauma is here to stay: Advances in the Treatment of Blunt Thoracic Aortic Injury
TEVAR for trauma is here to stay: Advances in the Treatment of Blunt Thoracic Aortic Injury Megan Brenner MD MS RPVI FACS Associate Professor of Surgery Division of Trauma/Surgical Critical Care, RA Cowley